MARC Record from harvard_bibliographic_metadata

LEADER: 02161camaa2200301Ki 4500
001 014102654-5
005 20140624091220.0
008 140609s2014 maua b 000 0 eng d
035 0 $aocn881194614
040 $aHBS$cHBS$erda$dHBS
100 1 $aHuckman, Robert S.,$eauthor.
245 10 $aCohort turnover and productivity :$bthe July phenomenon at teaching hospitals /$cRobert S. Huckman, Hummy Song, Jason R. Barro.
264 1 $a[Boston] :$bHarvard Business School,$c[2014]
300 $a34 pages :$billustrations ;$c28 cm.
336 $atext$2rdacontent
337 $aunmediated$2rdamedia
338 $avolume$2rdacarrier
490 1 $aWorking paper / Harvard Business School ;$v14-113
500 $a"May 2014" -- Publisher's website.
504 $aIncludes bibliographical references (pages 23-25).
520 $aWe consider the impact of cohort turnover -- the planned simultaneous exit of a large number of experienced employees and a similarly sized entry of new workers -- on productivity in the context of teaching hospitals. Specifically, we examine the impact of the annual July turnover of residents in American teaching hospitals on levels of resource utilization and quality in teaching hospitals relative to a control group of non-teaching hospitals. We find that, despite the anticipated nature of the cohort turnover and the supervisory structures that exist in teaching hospitals, this annual cohort turnover results in increased resource utilization (i.e., longer length of hospital stay) for both minor and major teaching hospitals, and decreased quality (i.e., higher mortality rates) for major teaching hospitals. Particularly in major teaching hospitals, we find evidence of a gradual trend of decreasing performance that begins several months before the actual cohort turnover and may result from a transition of responsibilities at major teaching hospitals in anticipation of the cohort turnover.
700 1 $aSong, Hummy,$eauthor.
700 1 $aBarro, Jason R.,$eauthor.
710 2 $aHarvard Business School.
830 0 $aWorking paper (Harvard Business School) ;$v14-113.
988 $a20140624
049 $aHBSM
906 $0MH